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    Shewit Misgina
    This document summarizes a case study on the implementation of the Operating Room Black Box research program at Ottawa Hospital. The black box captures synchronized audio, video, patient, and environmental data in real time from operating rooms to analyze clinical performance. Over a 12-month period, hospital leadership was engaged, and 10 clinician champions from nursing, anesthesia, and surgery were recruited. Stakeholder perceptions were considered through qualitative interviews. Many anticipated and unanticipated challenges were encountered during implementation. Ultimately, the black box was successfully installed in August 2018 and data collection began thereafter. This case study outlines the systematic implementation approach taken and represents the first step toward evidence-guided implementation of technologies for direct observation of surgical performance.

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    This document summarizes a case study on the implementation of the Operating Room Black Box research program at Ottawa Hospital. The black box captures synchronized audio, video, patient, and environmental data in real time from operating rooms to analyze clinical performance. Over a 12-month period, hospital leadership was engaged, and 10 clinician champions from nursing, anesthesia, and surgery were recruited. Stakeholder perceptions were considered through qualitative interviews. Many anticipated and unanticipated challenges were encountered during implementation. Ultimately, the black box was successfully installed in August 2018 and data collection began thereafter. This case study outlines the systematic implementation approach taken and represents the first step toward evidence-guided implementation of technologies for direct observation of surgical performance.

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    This document summarizes a case study on the implementation of the Operating Room Black Box research program at Ottawa Hospital. The black box captures synchronized audio, video, patient, and environmental data in real time from operating rooms to analyze clinical performance. Over a 12-month period, hospital leadership was engaged, and 10 clinician champions from nursing, anesthesia, and surgery were recruited. Stakeholder perceptions were considered through qualitative interviews. Many anticipated and unanticipated challenges were encountered during implementation. Ultimately, the black box was successfully installed in August 2018 and data collection began thereafter. This case study outlines the systematic implementation approach taken and represents the first step toward evidence-guided implementation of technologies for direct observation of surgical performance.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    15 views2 pages

    Journal or 2

    Uploaded by

    Shewit Misgina
    This document summarizes a case study on the implementation of the Operating Room Black Box research program at Ottawa Hospital. The black box captures synchronized audio, video, patient, and environmental data in real time from operating rooms to analyze clinical performance. Over a 12-month period, hospital leadership was engaged, and 10 clinician champions from nursing, anesthesia, and surgery were recruited. Stakeholder perceptions were considered through qualitative interviews. Many anticipated and unanticipated challenges were encountered during implementation. Ultimately, the black box was successfully installed in August 2018 and data collection began thereafter. This case study outlines the systematic implementation approach taken and represents the first step toward evidence-guided implementation of technologies for direct observation of surgical performance.

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    © All Rights Reserved
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    Name: Date:

    Group Name of CI:

    I. TITLE: Implementation of the Operating Room Black Box Research Program at the
    Ottawa Hospital Through Patient, Clinical, and Organizational Engagement: Case Study
    AUTHOR: : Boet1, S., et al.
    SOURCE: Boet1, S., Etherington1, C., Lam1, S., Lê5, M., Proulx5, L., Britton6, M., Kenna6,
    J., Przybylak-Brouillard1, A., Grimshaw2, J., Grantcharov7, T., Singh9, S., 1Department of
    Anesthesiology and Pain Medicine, & Boet, C. A. S. (n.d.). Implementation of the operating
    room black box research program at the Ottawa Hospital through patient, clinical, and
    organizational engagement: Case study. Journal of Medical Internet Research. Retrieved January
    4, 2022, from https://www.jmir.org/2021/3/e15443/
    YEAR OF PUBLICATION: March 2021

    II. SUMMARY

    A large proportion of surgical patient harm is preventable; yet our ability to systematically learn
    from these incidents and improve clinical practice remains limited. The Operating Room Black Box
    was developed to address the need for comprehensive assessments of clinical performance in the
    operating room. It captures synchronized audio, video, patient, and environmental clinical data in
    real time, which are subsequently analyzed by a combination of expert raters and software-based
    algorithms. It’s aimed to contribute to the development of evidence-based best practices for
    implementing innovative technology in the operating room for direct observation of the clinical
    performance by using the case of the Operating Room Black Box. The implementation approach
    included seeking support from hospital leadership; building frontline support and a team of
    champions among patients, nurses, anesthesiologists, and surgeons; accounting for stakeholder
    perceptions using theory-informed qualitative interviews; engaging patients; and documenting the
    implementation process, including barriers and facilitators, using the consolidated framework for
    implementation research. During the 12-month implementation period, 23 stakeholder
    engagement activities with over 200 participants. The recruited 10 clinician champions
    representing nursing, anesthesia, and surgery. Many anticipated and unanticipated challenges
    were encountered at all levels. Implementation was ultimately successful, with the Operating
    Room Black Box installed in August 2018, and data collection beginning shortly thereafter. This
    paper represents the first step toward evidence-guided implementation of technologies for direct
    observation of performance for research and quality improvement in surgery. With technology
    increasingly being used in health care settings, the health care community should aim to optimize
    implementation processes in the best interest of health care professionals and patients.
    III. NURSING IMPLICATIONS

    To Nursing Practice

    This contributes to the development of evidence-based best practices for implementing innovative
    technology in the operating room for direct observation of the clinical performance by using the
    case of the Operating Room Black Box. Specifically, we outline the systematic approach to the
    Operating Room Black Box implementation undertaken at our center.

    To Nursing Education

    This article helps medical professional or nursing students to determine what are the
    interventions or implementation of the Operating Room Black Box Research Program. A source of
    knowledge regarding technology being used in health care settings. In which the research
    specifically outlines the systematic approach to the Operating Room Black Box implementation
    undertaken at the stated center.

    To Nursing Research

    This research is the first step toward evidence-guided implementation of technologies for direct
    observation of performance for research and quality improvement in surgery. With technology
    increasingly being used in health care settings, To the future researchers and research, to those
    who wants to expand this research, this may be use as materials for basis in research and study’s
    related to Implementation of the Operating Room Black Box Research Program.

    IV. PERSONAL INSIGHTS

    To the modern word technology provide the best convenience as well in medicine. Technological
    advancement had helped the health care community to optimize implementation processes in the
    best interest of health care professionals and patients. As I agree to the Implementation of the
    Operating Room Black Box Research Program which does not only help health care provider
    toward delivery of care but also give adequate, effective and efficient patient care.
    Checked and Received: ()

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